Provider Demographics
NPI:1184735896
Name:OLAUGHLIN, MARIA GERENDAS (PT)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:GERENDAS
Last Name:OLAUGHLIN
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Gender:F
Credentials:PT
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Mailing Address - Street 1:315 COTUIT ROAD UNIT 1
Mailing Address - Street 2:CORE PHYSICAL THERAPY
Mailing Address - City:SANDWICH
Mailing Address - State:MA
Mailing Address - Zip Code:02563
Mailing Address - Country:US
Mailing Address - Phone:508-833-1460
Mailing Address - Fax:508-833-1462
Practice Address - Street 1:541 MAIN ST
Practice Address - Street 2:SUITE 316
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02190-1868
Practice Address - Country:US
Practice Address - Phone:781-927-7991
Practice Address - Fax:781-331-1473
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2012-06-29
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Provider Licenses
StateLicense IDTaxonomies
MA8026225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
YY6129OtherBCBS INDIVD
YY6129OtherBCBS INDIVD